MEDICARE: LAUREN ELLE OPPENHARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	260305	KY

General Provider Information

NPI Number	:	1588596738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELLE OPPENHARRIS

Provider Business Mailing Address
First Line	:	8110 MONTERO DR
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 MONTERO DR
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9403
Country	:	US
Telephone Number	:	502-649-3386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ LAUREN ELLE OPPENHARRIS ” Practice Location

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